NPIMap

Organization Active NPI

Webster-Cantrell Hall

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Decatur, IL
National Provider Identifier
1689633828
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
021746-10 Issued in IL
Legal business name
WEBSTER-CANTRELL HALL
Practice address
1942 E Cantrell St
Decatur, IL 62521-3214
Phone
(217) 423-6961
Fax
(217) 421-6889
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Martin S Harris
Title
Chief Executive Officer
Phone
(217) 423-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 021746-10 IL Primary

Addresses

Primary practice location

1942 E Cantrell St
Decatur, IL 62521-3214

Mailing address

1942 E Cantrell St
Decatur, IL 62521-3214
Phone (217) 423-6961

National Provider Directory

National Provider Directory
Tax ID family
Webster-Cantrell Hall3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1689633828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-423-6961",
            "fax_number": "217-421-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-423-6961",
            "fax_number": "217-421-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER-CANTRELL HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "217-423-6961",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "021746-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.